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Certain L codes up for prior authorization

February 11, 2020HME News Staff

ATLANTA - CMS plans to update the Federal Register today to add certain L codes to the prior authorization list for DMEPOS, according to the van Halem Group.CMS will add the following codes to the list of items that require prior authorization as a condition of payment:L5856 - (Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type)L5857  - (Addition to lower extremity prosthesis,...

L codes, orthotics, prior authorization, prosthetics


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